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The oral-gut axis thus serves as a critical mediator in systemic inflammation and disease progression, with specific microbial taxa offering potential biomarkers for early detection, as seen in oral cancer where Haemophilus parainfluenzae and Rothia mucilaginosa are malignancy-associated (Nayyar et al., 2025)

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Reduced biosynthesis capacity reduced absorption in the intestine Reduced L-carnitine transport through the cell membrane increased excretion by the kidneys Increased requirement (during physical exertion or extraordinary stress) Primary, secondary and functional L-carnitine deficiency A distinction is made between primary and secondary L-carnitine deficiency

Solution for injection used to treat vitamin B12 deficiency

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